| NPI | 1760668545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA M TALLEY Client Services Coordinator 540-213-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0101032138) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2010-05-13 |